| Name: | Alexander Scagnelli, M.D., P.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 01 Apr 1994 (31 years ago) |
| Identification Number: | 000076340 |
| ZIP code: | 02879 |
| County: | Washington County |
| Principal Address: | 468 KINGSTOWN ROAD UNIT 4, WAKEFIELD, RI, 02879, USA |
| Purpose: | PSYCHIATRIC PRACTICE OF MEDICINE |
| NAICS: | 621112 - Offices of Physicians, Mental Health Specialists |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417904988 | 2006-05-28 | 2019-01-21 | 469 CENTERVILLE RD STE 103, WARWICK, RI, 028864355, US | 469 CENTERVILLE RD STE 103, WARWICK, RI, 028864355, US | |||||||||||||||||||||||||||||
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| Phone | +1 401-821-4100 |
| Fax | 4018239180 |
Authorized person
| Name | MRS. DEBORAH A. FALCO |
| Role | OFFICE MANAGER |
| Phone | 4018214100 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | R I BLUECROSS GROUP # |
| Number | BCG0005442-001 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| ALEXANDER SCAGNELLI | Agent | 468 KINGSTOWN ROAD UNIT 4E, WAKEFIELD, RI, 02879, USA |
| Name | Role | Address |
|---|---|---|
| ALEXANDER SCAGNELLI | PRESIDENT | 468 KINGSTOWN RD #4 WAKEFIELD, RI 02879 USA |
| Number | Name | File Date |
|---|---|---|
| 202452229750 | Annual Report | 2024-04-23 |
| 202328802830 | Annual Report | 2023-02-19 |
| 202220871150 | Annual Report | 2022-07-08 |
| 202220025300 | Revocation Notice For Failure to File An Annual Report | 2022-06-27 |
| 202195128600 | Annual Report | 2021-03-30 |
| 202033626170 | Annual Report | 2020-02-03 |
| 201983795190 | Annual Report | 2019-01-05 |
| 201876840990 | Annual Report | 2018-09-07 |
| 201875453740 | Revocation Notice For Failure to File An Annual Report | 2018-08-24 |
| 201730441510 | Annual Report | 2017-01-18 |
Date of last update: 07 Oct 2024
Sources: Rhode Island Department of State
